45D2238640 CLIA NUMBER - RGV COMPOUNDING PHARMACY, LLC DBA LA FARMACIA

Laboratory Demographics

  • CLIA Code: 45D2238640
  • Facility Name: RGV COMPOUNDING PHARMACY, LLC DBA LA FARMACIA
  • Facility Address: 5460 PAREDES LINE RD #199
    BROWNSVILLE, TX
    ZIP 78526
  • Facility Phone: 956 621-0228
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOEL J. BENITEZ
  • NPI Number: 1770950339
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2238640
LAB Type Pharmacy
Facility Name RGV COMPOUNDING PHARMACY, LLC DBA LA FARMACIA
Street 5460 PAREDES LINE RD #199
City BROWNSVILLE
State TX
ZIP 78526
Phone 956 621-0228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Pharmacy
Lab Director JOEL J. BENITEZ

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This page was last updated on: 9/29/2025